Centers for Disease Control and
Prevention

Name of Initiative or Program Activity:

HIV Prevention Among
Gay Men of Color

Description of Initiative:

These funds will
support HIV prevention organizations serving gay men of color for delivery of
health education, outreach, counseling and testing, prevention case management
and formal referral to services. Technical assistance will also be provided to
support a durable capacity to deliver effective prevention interventions and
services.

For direct funding of
grant applications of indigenous organizations with a history of working with
African-American communities to target high-risk populations. The goals of this
initiative are: (1) provide financial and technical assistance to indigenous
CBOs to provide HIV prevention services to primarily African-American
populations for which gaps in services are demonstrated; (2) support HIV
prevention programs that reflect national program goals and are consistent with
the HIV prevention priorities outlined in the jurisdiction's comprehensive HIV
plan; and (3) promote the collaboration and coordination of HIV prevention
efforts among CBOs and other local, State, and federally funded programs. This
extends CDC's program providing direct funding to community-based organizations
(CBOs).

Eligible applicants:

Minority CBOs,
including faith based organizations, in either: (1) the 20 MSAs with more than
1,000 AIDS cases in the African-American population in 1997; or (2) 30 counties
and cities with highest rate of syphilis infection in 1997.

Eligible Entities:

Minority CBOs, including faith based organizations (must have 501(c)
status)

This funding will be
used to provide targeted technical assistance through cooperative agreements
with national organizations to assist minority community-based organizations
(CBOs) in developing expertise in fiscal and administrative grants management
and the preparation of competitive funding applications, and through
organizational mentoring strategies. The goal of this program is to improve the
capacity of CBOs, including faith-based organizations, to deliver effective HIV
prevention services to African Americans. The program also serves to increase
the effectiveness and responsiveness of the HIV prevention community planning
process and health departments' HIV prevention programs to meet the needs of
African-American communities heavily affected by HIV and AIDS.

Approximately $4.0
million was awarded through state and local health departments by CDC on a
competitive basis to support racial and ethnic minority community-based
organizations (CBOs) in 30 locations to address high priority HIV prevention
needs in African American and Latino populations. These CBOs must have a
governing board composed of more than 50 percent racial or ethnic minority
members, a significant number of minority individuals in key program positions,
and an established record of service to racial or ethnic minority communities.
This funding began in FY98 and is continued with FY99 resources.

For developing HIV and substance
abuse prevention programs at divinity schools located at Historically Black
Colleges and Universities (HBCUs), and for expanding the ability of other
faith-centered programs in this area.

Community
Development Grants for HIV/ STD/ TB/ Substance Abuse Integration and
Linkages

Description of Initiative:

The goal of this
program is to improve the health status of African-American community members
by increasing access to linked networks of health services, including, HIV,
STD, TB and substance abuse prevention treatment and care. This will be
accomplished by planning and developing a linked network between HIV, STD, TB
and substance abuse programs.

Eligible Entities:

Local non-profit
health, social service, or voluntary service organizations, or CBOs with 501(c)
tax exempt status and a governing or advisory body composed of more than 50
percent of the racial or ethnic minority population to be served.

Pilot Prison
Programs for Linkages of Incareerated Populations with Community Prevention and
Care

Description of Initiative:

Several pilot projects
will be initiated related to disease intervention and prevention in
correctional settings that build upon our existing programs within correctional
settings. The goal of this initiative is to improve access to health care and
the health status of both incarcerated and at-risk disproportionately affected
racial and ethnic minorities, especially HIV-infected persons, and their
communities. This will be accomplished by: 1) increasing access to HIV/AIDS
primary health care and prevention services; 2) strengthening HIV transitional
services between correctional settings and communities, and 3) linking networks
of HIV health and social services. Models of linked networks of health services
including HIV/AIDS, STD, TB, hepatitis and substance abuse prevention and
treatment during and after incarceration will be developed and evaluated for
use by other primary eare, prevention, criminal justice, and community service
organizations. In addition, a portion of these funds will be used to provide
technical assistance to health departments working with correctional
facilities. This funding will be provided through interagency agreements with
facilities. This funding will be coordinated with other federal agencies, such
as National Institute of Justice, HRSA, and SAMHSA.

Strengthen the
Requirements in CDC's HIV Prevention Community Planning

Description of Initiative:

This initiative will
strengthen the requirements in CDC's HIV prevention community planning
cooperative agreements so that State allocation decisions must reflect the
demographics of the HIV epidemic in that State. CDC has been working
collaboratively with State and local health departments over the last several
years to achieve this objective. This activity reflects a redirection of funds
within the existing HIV prevention cooperative agreements to ensure that
currently available resources are spent proportionate to the epidemic in a
given locale, and does not fully address substantial unmet needs. To implement
these requirements, CDC will analyze the budgets of all State health
departments in October-November 1998, to ensure that HIV Prevention funds are
being allocated based on the latest HIV/AIDS surveillance data. For any State
in which this is not the case, CDC will take immediate action to work with the
State to correct these budget gaps. CDC estimates that approximately $15
million will be redirected toward prevention programs within the
African-American community.

Eligible Entities:

State and local health
departments

Type
of Funding:

Cooperative
agreements

Amount of Funds:

Within the HIV
Prevention Community Planning Cooperative Agreements, approximately $15 million
will be redirected towards African American communities

** Every January the state health departments receive base HIV
prevention fund awards. The budget table analyses for FY98 are near completion
and CDC is providing feedback to the states on how their funding is tracking
with their HIV epidemics. States will report in September 1999 on the uses of
the FY99 funds based on CDC's analyses, which projects that approximately $15
million will be redirected into programs for African American
communities.

These funds will
support the development of new and innovative early identification strategies
to reach populations at high risk for HIV infection and create linkages with
care, especially minority populations, including women and adolescents.
Activities may include coalition building, product developrnent, outreach
activities, and evaluation of effective interventions.

As part of CDC's
initiative to reduce HIV transmission among people of color, $400,000 has been
awarded to develop population-specific strategies aimed at (1) better targeting
of HIV prevention resources toward those communities experiencing the greatest
impact of the HIV/AIDS epidemic, and (2) improving the capacity of
community-based organizations (CBOs) to deliver effective interventions. This
funding was a redirection of FY98 funds.

Approximately $3.9
million was awarded competitively through state and local health departments by
CDC to support 5 demonstration projects to provide priority HIV prevention
services to HIV-infected individuals, especially to racial and ethnic
minorities and others having difficulty accessing prevention or treatment
services. Health departments will subcontract with community-based primary care
facilities in carrying out these activities.

Eligible Entities:

State and local health
departments

Type
of Funding:

Cooperative
agreements

Amount of Funds:

$3.9
million

Average Grant Size:

$780,000

How
Many Grants anticipated:

5 - Wisconsin; Los
Angeles; Maryland; California; San Francisco

Dates:

Awards were made
September 1998 with continuation funding to be provided in FY 99.

CDC has awarded,
through state and local health departments, an additional $ 1.7 million to
enhance syphilis elimination efforts in 13 areas most heavily affected by the
disease. Syphilis has a disproportionate impact on communities of color, with
approximately 89 percent of all cases occurring in minority communities (84
percent occurring in African Americans). Early detection and treatment of STDs
can have a major impact on sexual transmission of HIV, as untreated STDs can
increase the risk of HIV transmission by 2 to 5-fold. This funding began with
FY 98 funds and is continuing with FY99 resources.

Approximately $800,000
was competitively awarded by CDC to support behavioral research investigating
the effectiveness of HIV prevention interventions serving HIV seropositive gay
men, especially gay men of color. CDC has completed the formative evaluation
phase of this research to learn how to best construct effective interventions
for HIV seropositive gay men of color. CDC has now moved into the next phase,
testing new prevention interventions. Grant recipients are universities and
organizations with expertise in conducting research interventions. The funding
reflects a continued and expanded emphasis on conducting prevention research
projects in communities of color.

Eligible Entities:

Universities and
research organizations

Type
of Funding:

Cooperative
agreements

Amount of Funds:

$800,000
continuation

How
Many Grants anticipated:

2 - University of
California - San Francisco; New Jersey City University

Dates:

Awards were made
September 1998 with continuation funding to be provided in FY 1999.

Research and Program
Intervention Models for HIV+ Minority Communities

Description of Initiative:

To start research
projects that evaluate innovative preventions for HIV- positive
African-American women and their sex partners. This will complement existing
CDC research on developing interventions for HIV-positive men.

Eligible Entities:

State and local health
departments

Type
of Funding:

Cooperative
agreements

Amount of Funds:

$1.0
million

How
Many Grants anticipated:

5 - Los Angeles; San
Francisco; California; Maryland; Wisconsin

Dates:

Funds were awarded in
September 1998 and will be continued in FY 1999.